Organization
MOORESVILLE PHARMACY EAST, LLC
Active
Organization
MOORESVILLE PHARMACY EAST, LLC
Active
Parent organization
MOORESVILLE PHARMACY EAST LLC
Other names
HEALTHSMART PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOORESVILLE PHARMACY EAST LLC
Authorized official
GAVIN MICHAEL HOUCHINS PHARM.D (OWNER)
(704) 799-6872
Entity
Organization
Contact information
Practice address
594 N MAIN ST, MOORESVILLE, NC 28115-2328
(704) 799-6870
Mailing address
594 N MAIN ST, MOORESVILLE, NC 28115-2328
(704) 799-6870
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0497129
—
NC
05
—
7N7707
—
SC
Enumeration date
10/30/2018
Last updated
10/30/2018
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